Individual
DR. MICHELLE ANN YEARICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
217 FARLEY CIR, LEWISBURG, PA 17837-9251
(570) 524-7318
(570) 524-7321
Mailing address
217 FARLEY CIR, LEWISBURG, PA 17837-9251
(570) 524-7318
(570) 524-7321
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS029601L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015736170005
—
PA
Enumeration date
05/22/2006
Last updated
11/24/2009
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